Organization Active NPI

Shannon Griffin, DMD, PLLC

Doing business as Griffin Dental Associates

  • Surgery Physician
  • Lawton, OK
National Provider Identifier
1952768467
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SHANNON GRIFFIN, DMD, PLLC
Doing business as
Griffin Dental Associates
Practice address
1320 NW Homestead Dr.
Suite I
Lawton, OK 73505
Phone
(580) 536-2662
Fax
(580) 536-2226
NPI assigned
Jan 28, 2016
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shannon Lee Griffin, DMDNPI 1740296094
Title
Owner
Phone
(580) 536-2662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1320 NW Homestead Dr.
Suite I
Lawton, OK 73505

Mailing address

1320 NW Homestead Dr.
Suite I
Lawton, OK 73505
Phone (580) 536-2662

Other identifiers 1

IdentifierTypeStateIssuer
5322OtherOKSTATE LICENSE - DENTIST

Other names 1

  • Griffin Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

420 W 15th St
Edmond, OK 73013
Phone (405) 348-2266

1320 NW Homestead Dr
Ste 1
Lawton, OK 73505

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1952768467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NW HOMESTEAD DR.",
            "address_2": "SUITE I",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-536-2662",
            "fax_number": "580-536-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW HOMESTEAD DR.",
            "address_2": "SUITE I",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-536-2662",
            "fax_number": "580-536-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON GRIFFIN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-536-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - DENTIST",
            "identifier": "5322",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griffin Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.